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Nov 7, 2013
11/13
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medicare is facing trouble. new problems in medicare bug trend it -- drug benefit. those are headlines from the early part of this decade. major programs that have come below in terms of the social safety net in this country and health care security. while this is an excusable, it is a challenge that has been faced time and time when any program has been unveiled. i find it amazing that those that seek to ascribe blame have spent every waking hour of the last four years working to dismantle, destroy, obstruct, and impede the success of the affordable care act. they are concerned not about its failure, but about its success. what i hope we will focus on is how to succeed. i want to get a sense when those of us on the committee worked to put this together, we were under the assumption that state- controlled by republican legislatures or governors would put a higher premium on the love of state rights than their dislike of the president or some ideological political opposition. which is why we are seeing far better success in states that have established their own mark
medicare is facing trouble. new problems in medicare bug trend it -- drug benefit. those are headlines from the early part of this decade. major programs that have come below in terms of the social safety net in this country and health care security. while this is an excusable, it is a challenge that has been faced time and time when any program has been unveiled. i find it amazing that those that seek to ascribe blame have spent every waking hour of the last four years working to dismantle,...
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Nov 15, 2013
11/13
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medicare. what percentage of medicare payments come from the general treasury? >> so senator in our long term budget outlook, we reported -- we showed that in a figure. >> let's just make it really three out of $4? 2 out of $3? >> so, senator, about now roughly half of total medicare outlays come out of general revenues. the other half come largely out of medicare payroll taxes. >> premiums are about 10% of medicare payments. >> over time this problem really becomes difficult for the general treasury, right? medicare obligations over time grow? >> yes, sir. very much, senator. >> 10,000 people a day and the baby boomers are retiring. there are 80 million of us over the next 40 years are going to go into retirement. when i was born in 1955 there were 16 workers for every retiree. today, how many are there? >> a few, senator. >> three. in 20 years, how many will it be? >> two. >> right. so here's the big dilemma. if 80 million people are going to retire and the numbers are going to change from three now and 20 years two, we have a problem. you agree with that? >>
medicare. what percentage of medicare payments come from the general treasury? >> so senator in our long term budget outlook, we reported -- we showed that in a figure. >> let's just make it really three out of $4? 2 out of $3? >> so, senator, about now roughly half of total medicare outlays come out of general revenues. the other half come largely out of medicare payroll taxes. >> premiums are about 10% of medicare payments. >> over time this problem really...
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Nov 6, 2013
11/13
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medicare, medicaid, medicare advantage. the opening of the marketplace on october one is the latest step in the implementation of the law, we acknowledge that we have a lot more to do and are ready to do it. thank you, mr. chairman. >> thank you, commissioner tavenner. we will start a series of five- minute questions. i will hold myself and everyone else to five minutes. you might only get one question, that way we can go around once, twice, three times, as long as it takes so people can get questions asked. i hope we will keep within five minutes so everyone gets to ask questions. we'll start now. ms. tavenner, as we evaluate the problems with the website, it is important to get the facts straight. some have said that fixing the website could take six months to one year, others state that there are 5 million lines of code to rewrite, others urge you to start from scratch. bring some facts to this overheated debate. i understand this can get technical, i want to give you an opportunity to explain in plain english. what is t
medicare, medicaid, medicare advantage. the opening of the marketplace on october one is the latest step in the implementation of the law, we acknowledge that we have a lot more to do and are ready to do it. thank you, mr. chairman. >> thank you, commissioner tavenner. we will start a series of five- minute questions. i will hold myself and everyone else to five minutes. you might only get one question, that way we can go around once, twice, three times, as long as it takes so people can...
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Nov 14, 2013
11/13
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and medicare beneficiaries. obviously, being from florida we have a significant firm of medicare beneficiaries, and in particular medicare advantage which is the only program where seniors get to choose the type of coverage they want, things of that nature. my mom's a medicare advantage patient. so i wanted to read briefly if i could a letter i received from a constituent in destin, florida, which is in northwest florida, and it's a letter she received regarding her existing doctor. she also got a letter from her, one of her providers that talks about the changes that are happening. let me read you the e-mail. she sent this. here's a copy of the letter i received from white wilson medical group. sacred heart might be also affected. my medicare advantage plan was the medicare completer through aarp and united health care. i have multibe billion chronic -- multiple chronic conditions. three of my doctors are with white wilson and three are with sacred heart. my rheumatologist who directs my treatment including rhe
and medicare beneficiaries. obviously, being from florida we have a significant firm of medicare beneficiaries, and in particular medicare advantage which is the only program where seniors get to choose the type of coverage they want, things of that nature. my mom's a medicare advantage patient. so i wanted to read briefly if i could a letter i received from a constituent in destin, florida, which is in northwest florida, and it's a letter she received regarding her existing doctor. she also...
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Nov 21, 2013
11/13
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if you cut social security, medicare, medicaid, my husband would literally die. first, know that many discussions on that deal with future programs and what they would look like. we would not do anything to harm you or your husband right now. that. there about are some changes that can be made and need to be made to preserve it for the future. with the money in these funds scheduled to run out, depending on the program you are talking about, the three years for social security disability, 10 years for medicare part a, social security is more like 20 years, it is time and it is prudent to take steps to preserve them. we cannot just keep kicking the can down the road, but people need to rest assured whether you are a senior citizen or a person on disability or social security or medicare that the people here as we have these discussions are going to be very, very conscience of the need that people have and that is what is driving us to want to try to preserve these programs, they are very important to people. promises have been made and they deserve these benefits
if you cut social security, medicare, medicaid, my husband would literally die. first, know that many discussions on that deal with future programs and what they would look like. we would not do anything to harm you or your husband right now. that. there about are some changes that can be made and need to be made to preserve it for the future. with the money in these funds scheduled to run out, depending on the program you are talking about, the three years for social security disability, 10...
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Nov 15, 2013
11/13
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and let's talk about medicare 50% of house republicans in 1965. we cannot stand by with an ill-conceived adventure in government. the end of which no one can see and from which the patient is certain to be that supper. this is typical of republicans through the generation every time we have tried to expand health care. they have opposed it and they have tried to derail it. this includes a republican because i understand about effective legislation and what it has on our economy and our private insurance system and that is what they have said about medicare. and they read horror stories about it. and this is what the republicans are saying. and this includes the health care law, which is that people who want to keep a substandard plan are having trouble keeping their substandard plan. president obama said he's going to fix that. and we will fix it. but that is not good enough for the republican friends. they just want to tear this down, just like they wanted to tear down medicare. and they wanted to tear down more recently as well. so this is ancie
and let's talk about medicare 50% of house republicans in 1965. we cannot stand by with an ill-conceived adventure in government. the end of which no one can see and from which the patient is certain to be that supper. this is typical of republicans through the generation every time we have tried to expand health care. they have opposed it and they have tried to derail it. this includes a republican because i understand about effective legislation and what it has on our economy and our private...
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Nov 5, 2013
11/13
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care law sex medicare and a couple of ways. one of the ways he may be talking about is that they are slowing down ratcheting down payments for something called medicare advantage. this is the private market, private insurers offering medicare coverage to those who sign up for it as an alternative to traditional medicare which is v. for service. the program is having a slowdown in payment increases because congress said they were already paying the program more money than they pay for the traditional medicare program and they wanted to bring it closer into alignment. some insurers with medicare advantage plans are probably raising premiums and doing other things to make changes as a result of that. >> host: let's go to michael from millsboro delaware on our line for folks who have employer insurance. good morning. >> caller: good morning. thank you for taking my call. i have a couple of points kind of off-track and not sure if it's a question. whether or not president obama lied, i don't believe that but he is being disingenuous
care law sex medicare and a couple of ways. one of the ways he may be talking about is that they are slowing down ratcheting down payments for something called medicare advantage. this is the private market, private insurers offering medicare coverage to those who sign up for it as an alternative to traditional medicare which is v. for service. the program is having a slowdown in payment increases because congress said they were already paying the program more money than they pay for the...
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Nov 15, 2013
11/13
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let's look at what happened when medicare came to the senate floor, medicare, one of the most select programs. 60 percent of republicans in the senate and 60% of house republicans voted against medicare in 1965. representative tour were all, republicans said we cannot stand idly by as the nation is urged to embark on an ill-conceived adventure in government, the end of which no one can see and for which the patient is certain to be the sufferer. this is typical of republicans through the generation. every time we strive to expand health care, opposed and opposed and tried to a derailment. senator simpson, republican of wyoming, i am disturbed about the effect this legislation would have upon our economy and upon our private insurance system. that is what they said about medicare. and they read. pour stories about it. now, here is what the republicans are saying. they're saying that there is problem with the health care law that needs to be fixed, which is people who want to keep the substance it plans ravage will keeping their substandard plan. president obama has already said he wil
let's look at what happened when medicare came to the senate floor, medicare, one of the most select programs. 60 percent of republicans in the senate and 60% of house republicans voted against medicare in 1965. representative tour were all, republicans said we cannot stand idly by as the nation is urged to embark on an ill-conceived adventure in government, the end of which no one can see and for which the patient is certain to be the sufferer. this is typical of republicans through the...
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Nov 5, 2013
11/13
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i had a different situation as a medicare person and my medicare has gone completely haywire in the the amount of doctor care i get now has been decreased and the supplemental plan like aarp is pushing has increased tenfold because of the obamacare regulations of minimum apartments. and like she is trying to say, it is fine, everyone needs to pay for pregnancy, everyone needs to pay for prostate cancer and it all works out, and if that is what the system is to try to force you into making such a mess that they will come back with a one payer system, that was what they really wanted in the first place and i don't understand a health care person such as yourself that is on there, what does kaiser permanente stand to gain? they were offering these policies is not just to let you know, it's a non-for profit policy tank, think tank of the kaiser family and not kaiser permanente. kaiser health news cover things like that health laws and doctors and attorneys may have been helping us the last couple weeks to try to explain this law for folks. jay brings up the medicare issue that he was talkin
i had a different situation as a medicare person and my medicare has gone completely haywire in the the amount of doctor care i get now has been decreased and the supplemental plan like aarp is pushing has increased tenfold because of the obamacare regulations of minimum apartments. and like she is trying to say, it is fine, everyone needs to pay for pregnancy, everyone needs to pay for prostate cancer and it all works out, and if that is what the system is to try to force you into making such...
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Nov 18, 2013
11/13
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as for your point on medicare, there are huge issues with medicare that go beyond the affordable care act. that does interconnect with medicare a little bit. the issues in which doctors are accepting medicare, issues of entitlement reform. that is the subject of budget discussion beyond the aca. host: a tweet here, a bigger picture view. still do not understand how this is going to keep costs down. guest: the affordable care act? what we touched on earlier, if more people have insurance, this is a law that is primarily about access to insurance. more people get coverage, the more they are able to see doctors on a regular basis, they do not have to worry about do i go to the doctor or pay the rent. when you get people out of the emergency rooms and into primary care, they are not experiencing of himthese catastrophic illnesses with as much frequency. it reincentivizes the way care is provided, smaller scale it also does some things to encourage doctors not to just prefer a bunch of tests to get paid but get paid based on how their patients do, the outcomes for patients. host: dan, oreg
as for your point on medicare, there are huge issues with medicare that go beyond the affordable care act. that does interconnect with medicare a little bit. the issues in which doctors are accepting medicare, issues of entitlement reform. that is the subject of budget discussion beyond the aca. host: a tweet here, a bigger picture view. still do not understand how this is going to keep costs down. guest: the affordable care act? what we touched on earlier, if more people have insurance, this...
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Nov 15, 2013
11/13
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and medicare part-b -- medicare beneficiaries. in florida we have a significant number of people that are medicare beneficiaries and medicare advantage. my mom is a medicare advantage patient. i wanted to read briefly if i could a letter i received from a constituent of mine named michelle hatly who lives in destine, florida, which is in northwest florida. it is a letter she received regarding her existing doctors. she also got a letter from one of her providers that talks about the changes. let me read you the e-mail. she sent this. here's a copy of the letter i received from white wilson medical group. as i indicated in our conversation, sacred heart might be also affected. my medicare advantage plan was the medicare completeer thrup aarp and united healthcare. three of my doctors are with white wilson and three are with sacred heart. my rheumatologist who directs my treatment for two autoimmune conditions is with sacred heart and the only rheumatologist in destine. i'm legally blind so transport to another doctor out of town is
and medicare part-b -- medicare beneficiaries. in florida we have a significant number of people that are medicare beneficiaries and medicare advantage. my mom is a medicare advantage patient. i wanted to read briefly if i could a letter i received from a constituent of mine named michelle hatly who lives in destine, florida, which is in northwest florida. it is a letter she received regarding her existing doctors. she also got a letter from one of her providers that talks about the changes....
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Nov 4, 2013
11/13
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affects medicare in a couple of ways. one of the ways that he may be talking about is that they are slowing down the payments for something called medicare advantage and this is the private market and private insurers offering medicare coverage to the folks that sign up for it as an alternative to the traditional medicare which is fee-for-service. the program is having some slowdown in payment increases because the congress said that today were already paying this more money than they pay for the traditional medicare program and they wanted to bring it alone but closer into alignment. so some insurers with medicare advantage plans are probably raising premiums and doing other things and making some changes as a result of that. >> host: from nick mills zero delaware on the line for folks that have an employer insurance. good morning. >> caller: good morning and thank you for taking my call. a couple of points just a little off track. whether or not president obama malae, i don't believe that that he's being very disingenuo
affects medicare in a couple of ways. one of the ways that he may be talking about is that they are slowing down the payments for something called medicare advantage and this is the private market and private insurers offering medicare coverage to the folks that sign up for it as an alternative to the traditional medicare which is fee-for-service. the program is having some slowdown in payment increases because the congress said that today were already paying this more money than they pay for...
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Nov 23, 2013
11/13
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it was a problem for medicare part d and it is still a problem for part d. people are reluctant to go back in. that they doown not make the best choices for them. >> thank you for the opportunity to clarify. have 34 products, and 31 -- three are catastrophic. on the individual side, there are fewer choices. side, 257 different products. we know from experience that small businesses them selves like choices. if a $15 co-pay is right for one small business and another small business wants a $20 co-pay, we know that from the massachusetts connector periods -- from the massachusetts connector experience we know that. we have a lot of input from policy workgroups. we decided early on that we did not want to limit product. we wanted carriers to be as innovative as they wanted to be. the one early decision that we made which was unanimously recommended by a variety of groups and carriers, it was that benefit not allow substitutions to the benefit packages. benefits likeonal acupuncture, as an example, but it is not a core benefit. in productsn includes additional b
it was a problem for medicare part d and it is still a problem for part d. people are reluctant to go back in. that they doown not make the best choices for them. >> thank you for the opportunity to clarify. have 34 products, and 31 -- three are catastrophic. on the individual side, there are fewer choices. side, 257 different products. we know from experience that small businesses them selves like choices. if a $15 co-pay is right for one small business and another small business wants a...
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Nov 1, 2013
11/13
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they were putting together an additional way to enroll in medicare. i would suggest, sir that, we had deadlines in the law that people had benefits starting january 1st. we wanted a extensive open enrollment period so that a lot of people who were not familiar with insurance didn't know how to choose a doctor or choose a plan had never been in this marketplace or people who needed to understand fully what the law offered had ample time to do that. so the date that i was required to select for open enrollment, that's again part of the statute, how long would open enrollment be? we picked that date. all the contractors that began early in this process in the fall of 2010 when we issued -- i'm sorry, 2011 when we issued the initial contracts to cgi and qssi new the october 1st date. that was not changed. it wasn't added to as we got closer to system, one of the reasons again that we paeared down what needed to launch is an attempt to minimize the risk to the system to get people to their ability to see clearly what they were entitled to, what the plans w
they were putting together an additional way to enroll in medicare. i would suggest, sir that, we had deadlines in the law that people had benefits starting january 1st. we wanted a extensive open enrollment period so that a lot of people who were not familiar with insurance didn't know how to choose a doctor or choose a plan had never been in this marketplace or people who needed to understand fully what the law offered had ample time to do that. so the date that i was required to select for...
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Nov 1, 2013
11/13
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the recent trends in medicare spending growth are really quite remarkable. medicare spending growth is at historically low levels growing by less than .5% in fiscal year 2012 following slow growth in 2010 and 2011. the same is true on the private side of health care. personal consumption expenditures on health care, everything from health insurance to drugs to hospital care rose by just over 1% in the past year. this is the slowest increase in nearly 50 years. madam secretary, what does this data tell us about what has happened to health care costs since the aca became law? >> well, you're absolutely right. in the last 3 1/2 years since the president signed at fordable care act, we have seen a great slowdown in the extraordinary cost increases year in and year out for health care, in the medicare plan and medicaid plan and in private insurance and in underlying health care costs which affect every american. some of that is to do with some of the features that are currently in place around different care delivery and different payment systems that we are help
the recent trends in medicare spending growth are really quite remarkable. medicare spending growth is at historically low levels growing by less than .5% in fiscal year 2012 following slow growth in 2010 and 2011. the same is true on the private side of health care. personal consumption expenditures on health care, everything from health insurance to drugs to hospital care rose by just over 1% in the past year. this is the slowest increase in nearly 50 years. madam secretary, what does this...
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Nov 7, 2013
11/13
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they didn't get any help from medicare. stopped taking their medicines and got sick and sicker and went to the hospital money.st a lot of with the affordable care act we and fixed a problem and paid for by the industry and created by the original george w. bush proposal which i supported. we're getting a lot of lament bout folks understandably oh throw are a million people who apparently are not going to be ble to continue with their insurance policy. maybe this is a substandard problem. try to work and help those folks let's keep in mind, a lot of people, hundreds of thousands people, they call my office offices and have problems that aren't worth the paper they're written on and we to be concerned about those 2, 3, 4 erned about the million young people who today not having health insurance because they're aged out. 22, 23, 24, 25 and today they have coverage. in mind as well. i have us keep in mind the the ons of people over years who actually lost coverage. they had coverage but lost it condition preexisting and lost it
they didn't get any help from medicare. stopped taking their medicines and got sick and sicker and went to the hospital money.st a lot of with the affordable care act we and fixed a problem and paid for by the industry and created by the original george w. bush proposal which i supported. we're getting a lot of lament bout folks understandably oh throw are a million people who apparently are not going to be ble to continue with their insurance policy. maybe this is a substandard problem. try to...
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Nov 14, 2013
11/13
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medicare prescription part-d provides prescriptions so senior citizens can stay healthy, independent and strong for as long as possible. and the problem we had, of course, was something called the doughnut hole. it meant out-of-pocket expenses seniors had to pay for their prescriptions. we are closing and filling the doughnut hole so that seniors aren't giving up their life savings in order to have the prescription drugs they need for a healthy life. they want to repeal that. they want to repeal the affordable care act. i'm waiting for the first republican senator to come to the floor and say seniors ought to pay more for their prescription these need under medicare, because that's the result of repealing the affordable care act. now, let me just also say this. life experience tells us several things. first, premiums on health insurance go up with some frequency. we're trying to slow down the rate of growth but they've been going up for a long time. in some markets, for example, when it comes to individual policies people are buying, those have gone up rather dramatically, sometimes
medicare prescription part-d provides prescriptions so senior citizens can stay healthy, independent and strong for as long as possible. and the problem we had, of course, was something called the doughnut hole. it meant out-of-pocket expenses seniors had to pay for their prescriptions. we are closing and filling the doughnut hole so that seniors aren't giving up their life savings in order to have the prescription drugs they need for a healthy life. they want to repeal that. they want to...
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Nov 8, 2013
11/13
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makee medicare solvent. reform medicare advantage to complete with medicare. make medicaid flexible, encourage employee wellness plans on the small business plans, expand health savings accounts, buy insurance across state lines, change 30 hour work weeks to 40 hours. the 39 -year-old tennessee woman that i told you about who is losing her injuries because obamacare has decided it is that good enough for her, finish the story with these words, quote this w is one of the biggest betrayals our government has ever committed on its citizens. of you to continue to fight for those like me, she says, who only asked to be allowed to continue to have what we already enjoy. a fair health insurance plan at a fair price. please, find a way to return to affordablepl healthcare rights. my message to emily is that we will doo our best to turn thisbt train around and had our health care delivery system in the right direction so that you can buy and keep healthcare that you afford. spin on behalf of the committeei i would like to welcome thenist administrator for medicaid and
makee medicare solvent. reform medicare advantage to complete with medicare. make medicaid flexible, encourage employee wellness plans on the small business plans, expand health savings accounts, buy insurance across state lines, change 30 hour work weeks to 40 hours. the 39 -year-old tennessee woman that i told you about who is losing her injuries because obamacare has decided it is that good enough for her, finish the story with these words, quote this w is one of the biggest betrayals our...
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Nov 14, 2013
11/13
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called medicare advantage, which is the only program in medicare where seniors goat choose their coverage, the type of coverage they want. my mom is a medicare advantage patient. i wanted to read briefly a letter i received from a constituent of mine named michelle who lives in florida. which is northwest florida. it's a letter she received regarding her existing doctors. she got a letter from one of her providers that talks about the changes that are -- let me read you the e-mail. she sent this attachment. here is a copy i received from the white wilson medical group. as i indicated in my conversation sacred heart might be affected. i have multiple chronic conditions that require treatment and consultations through several doctors. three of my doctors are with white wilson three with sacred heard. my rheumatologist is a sacred heart. and the only rheumatologist. i'm legally blind so transport to another doctor out of town is difficult and expensive. of the plans that are available that allow me to keep my doctor the annual out of pocket is significantly higher as well as the copayment an
called medicare advantage, which is the only program in medicare where seniors goat choose their coverage, the type of coverage they want. my mom is a medicare advantage patient. i wanted to read briefly a letter i received from a constituent of mine named michelle who lives in florida. which is northwest florida. it's a letter she received regarding her existing doctors. she got a letter from one of her providers that talks about the changes that are -- let me read you the e-mail. she sent...
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Nov 13, 2013
11/13
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and we know that medicare and medicaid remain on an unsustainable path, and we're actually seeing in many states the states opting to expand the medicaid program when they can't even care for or pay for the people who are currently in the medicaid program. and we have found that as organized labor has gone to the white house, they said that because of the incentives in obamacare, that many full-time employees will now be put on part-time work in order to avoid some of the penalties associated with obamacare, and we know that in the medical device sector, one of the most innovative parts of health care today, that those jobs are moving offshore. they're moving outside of the united states, and it's stifling innovation, this medical device tax which is part of the pay-for of obamacare. but here is another issue that hasn't gotten much attention lately. i was a little surprised when i came across this article in the "atlantic" magazine, but the truth is the obamacare structure penalizes people for getting married. certain couples who do qualify for the medicare -- for the obamacare subs
and we know that medicare and medicaid remain on an unsustainable path, and we're actually seeing in many states the states opting to expand the medicaid program when they can't even care for or pay for the people who are currently in the medicaid program. and we have found that as organized labor has gone to the white house, they said that because of the incentives in obamacare, that many full-time employees will now be put on part-time work in order to avoid some of the penalties associated...
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Nov 23, 2013
11/13
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medicare, medicare, social security and americans want more benefits of all kinds and they are willing to pay for. you talk about big, bold positive solutions being the answer -- are there big bold positive experiences that come to your experience at the state level for the different probl problems? >> they are different at the federal, state and local but they have the same tenants. the things you value the most would have been cut just as much as the things that don't have a high value. what we did was initiate reform. those were a part of it. and the biggest in the state were most of the school districts had to buy from one company. by pulling back on collective gardening, school districts can bid on health insurance and districts are saving tens of millions. and other changes beyond the fiscal leave are happening. at the federal level, it was more than half of the budget; aid to local government. so anything we did to balance the budget, besides massive cuts, required reforms in those area and same thing at the national level. and those areas you have to in act reform and many of t
medicare, medicare, social security and americans want more benefits of all kinds and they are willing to pay for. you talk about big, bold positive solutions being the answer -- are there big bold positive experiences that come to your experience at the state level for the different probl problems? >> they are different at the federal, state and local but they have the same tenants. the things you value the most would have been cut just as much as the things that don't have a high value....
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Nov 16, 2013
11/13
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they took money out of medicare to put to medicaid. that's an issue. our members are very capable and confident in talking about alternatives that we would offer for a patient-centered health care delivery system. but it doesn't put much good to put that up on the floor in a comprehensive way when you know, let's been honest, that the senate is not going to take it up. the president is not going to go along with that. so when one party passes something exclusively, denies the other party to even offer a single amendment on the house floor, which occurred, then they own it and embrace it. and they owned it and embraced it and overpromised and underdelivered and it is -- it is the -- it's the tsunami that washed up, there's a lot of debris on the ground. it will be the defining issue in 2014. and they got to explain it. when the other major programs in america were created, they almost always were created with bipartisan votes. major reforms and entitlement programs. they did it with tip o'neill in a bipartisan way. this one may be a conscious choice to
they took money out of medicare to put to medicaid. that's an issue. our members are very capable and confident in talking about alternatives that we would offer for a patient-centered health care delivery system. but it doesn't put much good to put that up on the floor in a comprehensive way when you know, let's been honest, that the senate is not going to take it up. the president is not going to go along with that. so when one party passes something exclusively, denies the other party to...
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Nov 15, 2013
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just like your predecessor is that medicare is a terrible idea and that is what this is about. we are going to make history here. we were going to fix the problem and there will be more of that. because that is what happens. .. our children will have a brighter future. and i'm just here to say i stand with those who want progress. i'm not going to tear something down like they want to do and go right back to where we were before, with parents like these having to choose between feeding their families and giving their kids health care. thank you, and i yield the floor. a senator: mr. president? the presiding officer: the senator from connecticut. mr. murphy: thank you, mr. president. thank you, the senator from california for telling the stories of people in california which are not unlike the stories in connecticut, an exchange that is working. a flood of people signing up way above expectations from where we originally thought the numbers would be. would be. >> i thank you as well for pointing out what is the reality, which is that over 40 # times, republicans in the house of
just like your predecessor is that medicare is a terrible idea and that is what this is about. we are going to make history here. we were going to fix the problem and there will be more of that. because that is what happens. .. our children will have a brighter future. and i'm just here to say i stand with those who want progress. i'm not going to tear something down like they want to do and go right back to where we were before, with parents like these having to choose between feeding their...
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Nov 26, 2013
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so the elderly generally have medicare, and i am not saying there is no one out there who is not struggling. in fact, i think most people are struggling day to day to make ends meet, but i am saying if you ask poor old were you hungry of any point during the year, four out of the five of them will say hungry -- they know, we were not hungry. >> if you asked them did you have a medical need you could not get attended to, almost all of them would say they do. most people have satellite, cable television. so the picture is much different than you ordinarily see on the network news. not to say there are no families that really do face deprivation, but a much smaller number than the 46 million we usually hear as being in poverty. guest: i think we have to recognize one of the reasons people are poor is because they have lost a job or cannot find one. it might have -- they might have television or an air- conditioning unit or what have you, because you do not move every month to fit what income is coming into the household. so a lot of what this is about this huge insecurity, not knowing where th
so the elderly generally have medicare, and i am not saying there is no one out there who is not struggling. in fact, i think most people are struggling day to day to make ends meet, but i am saying if you ask poor old were you hungry of any point during the year, four out of the five of them will say hungry -- they know, we were not hungry. >> if you asked them did you have a medical need you could not get attended to, almost all of them would say they do. most people have satellite,...
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Nov 21, 2013
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have access to medicare as a pillar of their economic and health security. beefully the budget will driven by values. hopefully it will be evidence- based. hopefully it will reflect the need for us to get to work to create jobs to reduce the deficit. i hope you have a very happy thanksgiving. -- i don'tafternoon know what time we will get out, but later this afternoon we will be having a special order to observe the 50th anniversary, which is tomorrow, of the assassination of president kennedy. this is something that none of you were born at the time, but for those of us who witnessed it or were alive at the time, we who be speaking to others others who were inspired also. since we are out tomorrow, we are going to be very prayer full today and send our wishes. i know the kennedy family is more interested in focusing on the president's birthday or his inauguration day with many other accomplishments. yesterday was beautifully observed, the 50th anniversary of the signing of the presidential medal of freedom award and all of that implied on the value he place
have access to medicare as a pillar of their economic and health security. beefully the budget will driven by values. hopefully it will be evidence- based. hopefully it will reflect the need for us to get to work to create jobs to reduce the deficit. i hope you have a very happy thanksgiving. -- i don'tafternoon know what time we will get out, but later this afternoon we will be having a special order to observe the 50th anniversary, which is tomorrow, of the assassination of president kennedy....
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Nov 4, 2013
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continuing to reform and strengthen medicare. there are some very good parts of it, and then there are some weaker parts or difficult parts that need to be corrected, and over time, we will continue to streamline, save money, provide better service, more choice, et cetera, et cetera. if you are among the poorest members of our country, 133% of poverty, which is about an income of $15,000 or less, you know, potentially you're just not able to find a good-paying full-time job, perhaps you didn't receive the education that others have received, perhaps you have got some disability, you're -- you would go under this plan on medicare -- i mean on medicaid, and then everyone in between, the lowest income and the age of 65 is in a private health care system, which is a market-based system, competition driving prices down. the idea would be that there would be 20, 30, 40 health care plans in every state offered. people can choose what they want with a minimum, bronze, silver, gold plan with lots of choice. that is the promise, that is th
continuing to reform and strengthen medicare. there are some very good parts of it, and then there are some weaker parts or difficult parts that need to be corrected, and over time, we will continue to streamline, save money, provide better service, more choice, et cetera, et cetera. if you are among the poorest members of our country, 133% of poverty, which is about an income of $15,000 or less, you know, potentially you're just not able to find a good-paying full-time job, perhaps you didn't...
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Nov 8, 2013
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protection in affordable care act is going to be saving a lot of money for medicare. >> we appreciate you bringing up that point of view. kansas, we will hear from vernon. hello. independent line. >> oh, yes. i would like to say to the republican party, i was one for many years. i am now an independent. say, a tea party member. >> what do you hesitate to say it? >> the tea party is not very well thought of. , what really parties --about both i understand why the republicans have become kind of a mutated elephant. they too have decatur. those the cater to government has created to get votes just to survive. my biggest hangup about both parties is simply this. they are more interested in party power and reelection than office ton the represent and make decisions which are the best for all people. i don't care about labels. i just want the united states to stay strong. one other thing, i would just wish that instead of talking a $17 trillion indebtedness, how about just that withe truth unfunded liabilities, it is $70 trillion. even the chinese are backing off from buying our debt. hope
protection in affordable care act is going to be saving a lot of money for medicare. >> we appreciate you bringing up that point of view. kansas, we will hear from vernon. hello. independent line. >> oh, yes. i would like to say to the republican party, i was one for many years. i am now an independent. say, a tea party member. >> what do you hesitate to say it? >> the tea party is not very well thought of. , what really parties --about both i understand why the...
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Nov 25, 2013
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i think i heard that it's going to take off this enrolled people off of medicare and put them
i think i heard that it's going to take off this enrolled people off of medicare and put them
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Nov 22, 2013
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we end up helping them a lot of times choosing the appropriate medicare part b plan for them. so we're helping on that site also. -- part d. we were surprised how many young families were coming in. host of young families coming in, the children are already on medicaid and the coming in for care for themselves or other family members. so our successes and challenges, so what's working? the system is improving. the awareness level is increasing and good publicity, bad publicity made people aware of this is out there, the marketplace is open. so it's about more people in. most people are surprised when they come at how affordable it is. i think there's a preconceived notion by especially people who have sought some of the high-risk pools are people with chronic illness in the past have been unable to really afford it. but as with the d.c. exchange, there are trees prices and people are really surprised that it is affordable. we are doing a lot of advice in a committee. with a couple of organizations that do free and low-cost tax services, filing services for people of low income
we end up helping them a lot of times choosing the appropriate medicare part b plan for them. so we're helping on that site also. -- part d. we were surprised how many young families were coming in. host of young families coming in, the children are already on medicaid and the coming in for care for themselves or other family members. so our successes and challenges, so what's working? the system is improving. the awareness level is increasing and good publicity, bad publicity made people aware...
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Nov 19, 2013
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i was not here -- over the passage of medicare part d. it was a largely partisan vote. the republicans under george whoosh were for it. most of the democrats were against it. but it passed in a very close, tense good. that as itnding is went into the implementation phase, which required a computer program and a website, there were lots of significant difficulties with that program. and there were concerns about having it work, and i want to ask you a little bit about that history so we have a context for the challenges we have today. there an excuse, because is real unity about needing to get this fixed. are the actions we take about getting it fixed or about trying to de-real and scuttle the overall health care or graham question mark americo will have to judge. can you give us a sense of what was going on inside the agency when you were preparing the medicare part d website in 2005, and were there concerns and issues that needed to be addressed then? >> the biggest and most prominent example that i can recall was the concern around assigningnment and medicare eligible
i was not here -- over the passage of medicare part d. it was a largely partisan vote. the republicans under george whoosh were for it. most of the democrats were against it. but it passed in a very close, tense good. that as itnding is went into the implementation phase, which required a computer program and a website, there were lots of significant difficulties with that program. and there were concerns about having it work, and i want to ask you a little bit about that history so we have a...
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Nov 14, 2013
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it is things like tort reform, more competition across state lines, reforming medicare to create the right incentives. right now the medicare program pays more for higher priced operations regardless of outcome rather than incentivizing lower- cost outcomes. i know joe agrees with me. also for situations where you have pre-existing conditions am a really empowering the state high risk health care pools. in north dakota we have comprehensive health insurance of north dakota. ofstates have these kind pools. how about the federal government works with those state pools to be more for people with pre- existing conditions? the step-by-step, comprehensive approach like that is what we advocate for. spoke about several health-care proposals being considered on and off the floors of the house and senate. >> today health and human services secretary kathleen sebelius announce a number of people who had had enrolled, and that figure released earlier this afternoon. david dropped her is just -- david drucker is joining us from capitol hill. is it a good or bad thing? we will need millions and m
it is things like tort reform, more competition across state lines, reforming medicare to create the right incentives. right now the medicare program pays more for higher priced operations regardless of outcome rather than incentivizing lower- cost outcomes. i know joe agrees with me. also for situations where you have pre-existing conditions am a really empowering the state high risk health care pools. in north dakota we have comprehensive health insurance of north dakota. ofstates have these...
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Nov 14, 2013
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i think it's things like tort rick orman more competition across state lines and reforming medicare to create the right incentives. now you have a medicare program that pays more for higher cost operations regardless of outcome rather than incentivizing lower cost, better outcomes, and preventive care. flexibilitycrease by giving the states the ability to run the medicaid programs -- joe agrees with me on that 1 -- also for situations where you have pre-existing conditions, really empowering the state high-risk health care pools -- in north dakota we have a few. 35 states have these kind of pools. west virginia probably has one. how about the federal government works with those staples to do more with people with pre- existing conditions. a step-by-step, comprehensive approach like that is what we advocate and we have legislation that we are putting forward to do it. >> the senate banking committee this morning hears from janet yellen the choice to head the federal reserve and as vice- chairman of the board of governors and would replace ben bernanke. that is live on c-span3 at 10 a.m.
i think it's things like tort rick orman more competition across state lines and reforming medicare to create the right incentives. now you have a medicare program that pays more for higher cost operations regardless of outcome rather than incentivizing lower cost, better outcomes, and preventive care. flexibilitycrease by giving the states the ability to run the medicaid programs -- joe agrees with me on that 1 -- also for situations where you have pre-existing conditions, really empowering...
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Nov 26, 2013
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or so of the elderly generally have medicare. and i mean, i'm not saying that there's nobody out there who's not struggling but, in fact, i think most people definitely are struggling day to day to make ends meet. i'm just saying that if you ask for people, for example, were you hungry any point during the year, four out of five of them will say no, we weren't hungry even when the going to you. if you ask them did you have a medical need that you couldn't get attended to, almost none of them will say that they do. most poor people again have satellite, cable television, have air-conditioning, computers, internet access. so the picture is just much different than you ordinarily see on the network news. not to say that there are no families that really do face deprivation. but there are a much smaller in number than the 46 million we usually hear as being in poverty. >> guest: but i said something about all this? we've got to recognize that one of the reasons that people are poor is because they've lost a job or can't find one. so
or so of the elderly generally have medicare. and i mean, i'm not saying that there's nobody out there who's not struggling but, in fact, i think most people definitely are struggling day to day to make ends meet. i'm just saying that if you ask for people, for example, were you hungry any point during the year, four out of five of them will say no, we weren't hungry even when the going to you. if you ask them did you have a medical need that you couldn't get attended to, almost none of them...
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Nov 7, 2013
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under the leadership of president bush number 2 the medicare drug benefit. now, a number of us didn't like that. we thought it didn't go far enough and should have been done differently. but it passed this body and became the law of the land. it was difficult to get that up and running. but, mr. president, we did not come to the for that and say, get rid of this bill. we believed, as imperfect as it was, it was the beginning of building support for doing something about health care in america. so i wish that my republican colleagues would do something constructive regarding health care. we've not heard one positive remark about what they would do to change what we have already done. so i think we would all be better off if that in fact were the case. mr. president, this legislation is working and it'll work even better when we get this web site deal worked out. there are people in nevada, there are people in new jersey, there are people in indiana, there are people all over america today who are benefiting as a result of what happened four years ago here in
under the leadership of president bush number 2 the medicare drug benefit. now, a number of us didn't like that. we thought it didn't go far enough and should have been done differently. but it passed this body and became the law of the land. it was difficult to get that up and running. but, mr. president, we did not come to the for that and say, get rid of this bill. we believed, as imperfect as it was, it was the beginning of building support for doing something about health care in america....
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Nov 13, 2013
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this happened when president bush put in the medicare drug program for seniors." theirwere people who lost prescriptions for their existing medicine and they fixed it. the president has pledged to ask his team to look at potential actions that could be taken to address this problem because his focus is on making sure that people get quality and affordable health insurance. clinton seems to be talking about anybody who is losing their plan. wereresident said they focused more on people getting cancellations that were not getting subsidies. what president obama looking at more narrow? -- is what president obama is looking at more narrow? >> more than half of those on , becauseidual market their plans were not more than halfn, of those individuals will have higher-quality insurance with better basic protections at the same or lower costs. half will qualify -- more than half will qualify for of subsidy. some will qualify for medicaid. for the universe of people within that five percent of the the factn for whom that they have a cancellation notice because they purchas
this happened when president bush put in the medicare drug program for seniors." theirwere people who lost prescriptions for their existing medicine and they fixed it. the president has pledged to ask his team to look at potential actions that could be taken to address this problem because his focus is on making sure that people get quality and affordable health insurance. clinton seems to be talking about anybody who is losing their plan. wereresident said they focused more on people...
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Nov 20, 2013
11/13
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we have long-term costs problems in medicare. thinking creatively as we restructure health care and give ing improved opportunities for a robust marketplace for health insurance that just doesn't con sole dade the marketplace into fewer and fewer companies, what is happening now, this is becoming a utility companies that work with hospitals and that's it. and the government will have a role in setting rates and that's it. you lose the dynamic of the competitive model for the insurance market while protecting people's access, we should allow them access and not be denied for pre-existing conditions and there are a lot of ways to do that. if we do that, we can retain and keep the market dynamic basis for controlling health care costs of the we do this in all other areas of our life and it's normal. no reason we have to put on blinders when we are dealing with ordinary health care costs and submit to the system. there is no reason for that. if we inject this sort of competitive marketplace for ordinary costs, competitiveness in the
we have long-term costs problems in medicare. thinking creatively as we restructure health care and give ing improved opportunities for a robust marketplace for health insurance that just doesn't con sole dade the marketplace into fewer and fewer companies, what is happening now, this is becoming a utility companies that work with hospitals and that's it. and the government will have a role in setting rates and that's it. you lose the dynamic of the competitive model for the insurance market...
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Nov 15, 2013
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at 62 years old, bob is hoping that with some adjustment to his income and his wife's medicare he could qualify for hundreds more a month in subsidies. i take that from the allentown morning call. >> the gentlewoman from indiana. >> thank you. i am pleased to cosponsor the keep your health care plan act to make sure that individuals can keep their health care plan that they like and need. i will ask hoosiers to share their stories. the stories are shocking. kathryn got this letter from her insurance company. beting that her plan will canceled. her monthly payments will increase from $186 per month to $329 per month, nearly double. another woman is a cancer patient undergoing chemotherapy. under obamacare, she now has to pay over $400 per month just for her own coverage. barton, a small business owner, said his group rims will increase 80% this year. premiums will increase 80% this year. together, we can get it done. i yield back. illinois.tleman from this woman beat the system. the 67-year-old became one of the first enrollees for health insurance at the glitch-stricken online marketpla
at 62 years old, bob is hoping that with some adjustment to his income and his wife's medicare he could qualify for hundreds more a month in subsidies. i take that from the allentown morning call. >> the gentlewoman from indiana. >> thank you. i am pleased to cosponsor the keep your health care plan act to make sure that individuals can keep their health care plan that they like and need. i will ask hoosiers to share their stories. the stories are shocking. kathryn got this letter...